SOUTHEAST ADDICTION INSTITUTE AND LEARNING CENTER, INC (NPI# 1679531461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679531461 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ADDICTION INSTITUTE AND LEARNING CENTER, INC |
| Other Organization Name | SAIL |
| Practice Address |
5601 Executive Center Dr Suite 101 Charlotte NC 28212-8841 |
| Practice Telephone | 7045610920 |
| Practice Fax Number | 7045610851 |
| Mailing Telephone | 7045610920 |
| Mailing Fax Number | 7045610851 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS GLENN AUSTIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7045610920 |
| Authorized Official Credential | CSAC, CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL-060-587 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005380 | 05 |
| Other Name | Type Code |
|---|---|
| SAIL | Doing Business As Name - Organization |
| Street Address |
5601 EXECUTIVE CENTER DR SUITE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922487024 | Chad Hearst | Community/Behavioral Health | 5601 Executive Center Dr, 201, Charlotte, NC 28212-8863 | 2015-05-21 |
| 1699012724 | Person Centered Partnerships, Inc. | Case Management | 5601 Executive Center Dr, Suite 201, Charlotte, NC 28212-8863 | 2013-01-09 |
| 1205153558 | Hope Lee Marshall | Counselor | 5601 Executive Center Dr, Ste 101, Sail, Charlotte, NC 28212-8863 | 2010-04-27 |
| 1588991814 | Cnc/access Inc | Community/Behavioral Health | 5601 Executive Center Dr, Charlotte, NC 28212-8863 | 2009-11-06 |
| 1396072625 | Cnc/access Inc | In Home Supportive Care | 5601 Executive Center Dr, Charlotte, NC 28212-8863 | 2009-11-06 |
| 1275776932 | Cnc Access Inc | Community/Behavioral Health | 5601 Executive Center Dr, Suite 147, Charlotte, NC 28212-8863 | 2009-04-10 |
| 1134328636 | Angelic Community &and Family Services | Preferred Provider Organization | 5601 Executive Center Dr, Suite 220, Charlotte, NC 28212-8863 | 2007-07-13 |
| 1215141023 | Jennifer Love-pennell | Counselor | 5601 Executive Center Dr, Suite 201, Charlotte, NC 28212-8863 | 2007-05-10 |
| 1710052683 | Angelic Community & Family Services | Preferred Provider Organization | 5601 Executive Center Dr, Suite 220, Charlotte, NC 28212-8863 | 2006-11-23 |
| 1780780940 | Carly Buchanan Thorpe | Counselor | 5601 Executive Center Dr, Ste 101, Charlotte, NC 28212-8863 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on SOUTHEAST ADDICTION INSTITUTE AND LEARNING CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.